Wesen, Cheryl A

Wesen, Cheryl A is an individual health care provider with primary practice located at 19229 Mack Ave Ste 34, Grosse Pointe Woods MI 48236-2858. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Wesen, Cheryl A can be contacted via phone (313) 647-3912.

Contact Information

Primary practice address
19229 Mack Ave Ste 34 Grosse Pointe Woods MI 48236-2858
Phone: (313) 647-3912
Fax: (313) 347-3902
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301062525 Michigan
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X 4301062525 Michigan

Profile Details

NPI number 1255319729
LBN Legal business name Wesen, Cheryl A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2006
Last updated Feb 3rd, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255319729 NPPES
Michigan MEDICAID 3475787
Michigan MEDICAID 4816915
Michigan Other 0H231320

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